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Original Articles
Performance pressure and mental health among finance workers in Korea: a cross-sectional study
Yu Min Lee, Hyoung-Ryoul Kim
Epidemiol Health. 2023;45:e2023099.   Published online November 7, 2023
DOI: https://doi.org/10.4178/epih.e2023099
  • 1,588 View
  • 86 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
While issues related to mental health, including suicide, have been frequently reported among finance workers, no formal investigation has been undertaken. This study was conducted to analyze correlations between indicators of performance pressure, which is a characteristic of the finance sector, and mental health.
METHODS
An online survey was administered to 1,181 participants. Brief questionnaires were employed to ask general questions about participant characteristics, work environment, and the presence of performance pressure, suicidal thoughts/plans/attempts, depression (indicated by the Patient Health Questionnaire-9), and anxiety (measured with the Generalized Anxiety Disorder-7). Frequency analysis, chi-square testing, and multivariate logistic regression analysis were performed.
RESULTS
Of the 1,181 respondents, 797 (83.5%) reported feeling pressure to perform at work, while 252 (26.4%) admitted to occasional willingness to achieve results even through illegal activities. Multivariate logarithmic regression analysis was employed to examine the correlation between performance pressure and mental health. This analysis revealed that those expressing willingness to achieve results through illegal activities exhibited higher levels of suicidal ideation (adjusted odds ratio [aOR], 1.63; 99% confidence interval [CI], 1.04 to 2.55), plans (aOR, 1.75; 99% CI, 1.01 to 3.01), and attempts (aOR, 2.72; 99% CI, 1.06 to 6.98). Additionally, these individuals demonstrated higher levels of depression (aOR, 2.02; 99% CI, 1.34 to 3.06) and anxiety (aOR, 2.84; 99% CI, 1.81 to 4.46).
CONCLUSIONS
Performance pressure is prevalent within the finance industry. This pressure serves as a major source of stress for employees and is evident in 3 representative indicators of mental health: suicide, depression, and anxiety.
Summary
Korean summary
현대사회에서 많은 조직이 성과에 따른 보상과 처벌규정을 사용하여 인적자원을 관리함으로써 조직의 성장을 꾀한다. 특히 금융업의 경우 성과평가가 평가를 위한 가시적이고 단순한 지표들과 연계되면서, 근로자들은 부여된 실적만을 달성하기 위한 과도한 노력을 기울이게 된다. 이 연구를 통해 그 과정에서 개인들은 과도한 성과압박을 느끼고, 성과압박을 많이 느낄수록 다양한 업무상 정신질환(불안, 우울, 자살생각 및 시도 등)을 경험한다는 것을 보여주었다.
Key Message
Inappropriately selected performance indicators cause performance pressure, which is related to the occurrence of work-related mental disorders. This paper is meaningful in showing the current status of performance pressure in the Korean financial industry and showing the relationship between performance pressure and work-related mental health.
The medium-term consequences of a COVID-19 lockdown on lifestyle among Spanish older people with hypertension, pulmonary disease, cardiovascular disease, musculoskeletal disease, depression, and cancer
Irene Rodríguez-Gómez, Coral Sánchez-Martín, Francisco J. García-García, Esther García-Esquinas, Marta Miret, Germán Vicente-Rodriguez, Narcís Gusi, Asier Mañas, José A. Carnicero, Marcela Gonzalez-Gross, José L. Ayuso-Mateos, Fernando Rodríguez-Artalejo, Leocadio Rodríguez-Mañas, Ignacio Ara
Epidemiol Health. 2022;44:e2022026.   Published online February 21, 2022
DOI: https://doi.org/10.4178/epih.e2022026
  • 9,513 View
  • 362 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
This study investigated the associations of chronic diseases with changes in lifestyle and health behaviours in older people following the coronavirus disease 2019 (COVID-19) lockdown in Spain and compared the differences in changes over time.
METHODS
1,092 participants (80.3±5.6 years; 66.5% female) from 2 Spanish cohorts were included. Telephone-based questionnaires were conducted to evaluate lifestyle and health risk behaviours at the end of lockdown and 7 months post-lockdown. Participants were classified as having physician-diagnosed chronic diseases based on self-reported data. Cox proportional models adjusted for major confounders were used.
RESULTS
Compared to those without the corresponding chronic diseases, older people with hypertension were less likely to report increased alcohol consumption (hazard ratio [HR], 0.73; 95% confidence interval [CI], 0.55 to 0.99). Pulmonary diseases were associated with lower risks of increased sedentary time (HR, 0.58; 95% CI, 0.39 to 0.86) and worsened sleep quality (HR, 0.56; 95% CI, 0.36 to 0.87), while cardiovascular diseases were associated with a lower risk of decreased sedentary time (HR, 0.58; 95% CI, 0.38 to 0.88). Depression was linked to a higher likelihood of improved diet quality (HR, 1.53; 95% CI, 1.00 to 2.36). Cancer pacients were less likely to have worsened sleep quality (HR, 0.44; 95% CI, 0.22 to 0.89) but more likely to have reduced their frequency of social contact (HR, 2.05; 95% CI, 1.05 to 3.99).
CONCLUSIONS
Older people with chronic diseases showed beneficial changes in lifestyle and health risk behaviours after the COVID-19 lockdown. In particular, older people with hypertension, pulmonary disease, and cancer tended to make beneficial lifestyle and health behaviour changes. However, older people with cardiovascular disease and depression engaged in more health risk behaviours.
Summary
Key Message
Although the majority of older people with chronic diseases showed beneficial changes in lifestyle and health risk behaviors after the COVID-19 lockdown, public health interventions should be developed to prevent the dangerous long-term effects that COVID-19 pandemic-type situations may have on the health of older people, with a particular focus on older people with CVD and depression that seem to have experienced more health risk behaviors during the COVID-19 pandemic than older people with other chronic diseases.

Citations

Citations to this article as recorded by  
  • Global burden of sleep disturbances among older adults and the disparities by geographical regions and pandemic periods
    Min Du, Min Liu, Yaping Wang, Chenyuan Qin, Jue Liu
    SSM - Population Health.2024; 25: 101588.     CrossRef
  • Nut Consumption and Depression: Cross-Sectional and Longitudinal Analyses in Two Cohorts of Older Adults
    R. Fernández-Rodríguez, R. Ortolá, Vicente Martínez-Vizcaíno, B. Bizzozero-Peroni, F. Rodríguez-Artalejo, E. García-Esquinas, E. López-García, A.E. Mesas
    The Journal of nutrition, health and aging.2023; 27(6): 448.     CrossRef
Depression, anxiety, and stress in Korean general population during the COVID-19 pandemic
Hooyeon Lee, Dongwoo Choi, Jung Jae Lee
Epidemiol Health. 2022;44:e2022018.   Published online January 18, 2022
DOI: https://doi.org/10.4178/epih.e2022018
  • 14,535 View
  • 625 Download
  • 14 Web of Science
  • 15 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
The aim of this study was to investigate the prevalence and risk factors of poor mental health in the general Korean population during the coronavirus disease 2019 (COVID-19) pandemic.
METHODS
This cross-sectional, population-based, online survey-based study was conducted from November 5 to 20, 2020 and included adults aged 20-49 years in Chungnam Province, Korea. A total of 549 adults were included.
RESULTS
In total, 18.8% of the participants had symptoms of depression, 10.6% had symptoms of anxiety, and 5.1% had a high level of perceived stress during the COVID-19 pandemic. Higher levels of stress (odds ratio [OR], 3.13; 95% confidence interval [CI], 1.13 to 8.67), anxiety (OR, 2.33; 95% CI, 1.09 to 4.49), and depression (OR, 3.00; 95% CI, 1.64 to 5.50) were found among never married, widowed, divorced, and separated people than among married/cohabiting/partnered participants. Participants who felt increased stress at home during the COVID-19 outbreak reported more depression (OR, 2.45; 95% CI, 1.49 to 4.05) and anxiety (OR, 2.42; 95% CI, 1.31 to 4.50). Women had higher risks of anxiety (OR, 1.97; 95% CI, 1.09 to 3.58) and stress (OR, 6.40; 95% CI, 2.30 to 17.85) than men. Participants with the highest household income were less likely to report symptoms of stress than those with the lowest household income (OR, 0.24; 95% CI, 0.06 to 0.96).
CONCLUSIONS
The participants in this study exhibited poor mental health index scores, suggesting that some people are at risk for mental health problems during the COVID-19 pandemic. Being married was independently and significantly associated with a lower likelihood of depression, anxiety, and stress.
Summary
Korean summary
이 연구는 코로나-19 유행 기간 동안 정신건강 현황과 위험 요인을 알아보기 위한 단면연구이다. 코로나 19 유행 이후 가정내 스트레스가 증가했다고 응답한 경우 우울증과 불안감의 유병률이 높았다. 반면, 남성인 경우, 결혼했거나 동거인과 같이 살고 있는 경우에는 우울증, 불안 또는 스트레스의 유병률이 통계적으로 유의하게 낮았다. 마스크 착용하기, 비대면 활동 증가, 또는 사회적 거리두기 등 코로나 19의 유행을 통제하기 위한 많은 정책은 개인의 일상생활과 정신건강에 많은 영향을 미쳤다. 이 연구는 취약 집단을 발굴하고, 정신건강 회복을 위한 전략을 개발하는데 기초자료를 제공할 수 있다.
Key Message
This study revealed high prevalence rates of depression, anxiety, and stress in the general population of Korea aged 20-49 years during the COVID-19 pandemic. Participants who felt increased stress at home reported more depression and anxiety. Men and being married were significantly associated with a lower likelihood of depression, anxiety, or stress. The COVID-19 pandemic has been a traumatic event. In addi­tion, the policies created to prevent its spread have disrupted daily living for the general population. Implement­ing strategies to promote resilience and support psychologically vulnerable individuals during the COVID-19 cri­sis is of fundamental importance.

Citations

Citations to this article as recorded by  
  • Pandemic stressors and mental health indicators in eight countries
    Salma M Abdalla, Shaffi Fazaludeen Koya, Samuel B. Rosenberg, Isaac B. Stovall, Olivia Biermann, Zahra Zeinali, Gregory H. Cohen, Catherine K. Ettman, Sandro Galea
    Social Psychiatry and Psychiatric Epidemiology.2024; 59(4): 585.     CrossRef
  • Protective Behaviors Against COVID-19 and Related Factors in Korean Adults With Depressive Symptoms: Results From an Analysis of the 2020 Korean Community Health Survey
    Ho-Jun Cho, Kyeong-Sook Choi, Jin-Young Lee, Ji-Ae Yun, Je-Chun Yu
    Psychiatry Investigation.2024; 21(1): 74.     CrossRef
  • The Impact of the Successive Outbreaks of COVID-19, Vaccination, and Physical Activity on Mental Health in the Argentine Population: A Repeated Cross-Sectional Study
    Alejo Ramiro Barbuzza, Fabricio Ballarini, Celina Goyeneche, Victoria Reppucci, Pedro Benedetti, Franco Moscato, Jorge H Medina, Cynthia Katche, Diego Moncada, Haydeé Viola
    Cureus.2024;[Epub]     CrossRef
  • Differences in Functional Level and Central Symptom of Network Structures in the Patients Seeking Treatment for Panic Disorder Before and During the COVID-19 Pandemic
    Hyun-Ju Kim, Minji Bang, Chun Il Park, Chongwon Pae, Sang-Hyuk Lee
    Psychiatry Investigation.2023; 20(3): 245.     CrossRef
  • Prevalence of Mental Disorders and Associated Factors in Korean Adults: National Mental Health Survey of Korea 2021
    Soo Jung Rim, Bong-Jin Hahm, Su Jeong Seong, Jee Eun Park, Sung Man Chang, Byung-Soo Kim, Hyonggin An, Hong Jin Jeon, Jin Pyo Hong, Subin Park
    Psychiatry Investigation.2023; 20(3): 262.     CrossRef
  • Physical activity and mental health in Brazilian university students: An analysis in different sexes during the COVID-19 pandemic
    Gabriela Carvalho Jurema Santos, Mateus Jurema Rino, Victor Luiz da Silva Lima, José Adilson Santos, Débora Eduarda da Silva Fidelis, Tiago Lacerda Ramos, Adelmo José de Andrade, Camila Tenório Calazans de Lira, Matheus Santos de Souza Fernandes
    Biomedical Human Kinetics.2023; 15(1): 113.     CrossRef
  • Risk and protective factors of mental health during the COVID-19 pandemic: A cross-sectional study in Singapore
    Mythily Subramaniam, Edimansyah Abdin, Saleha Shafie, Peizhi Wang, Shazana Shahwan, Pratika Satghare, Boon Yiang Chua, Michael Y Ni, Phyllis Lun, Wen Lin Teh, Janhavi Ajit Vaingankar, Siow Ann Chong
    Annals of the Academy of Medicine, Singapore.2023; 52(5): 249.     CrossRef
  • Is social support associated with postpartum depression, anxiety and perceived stress among Korean women within the first year postpartum?
    Mi-Sun Lee, Jung Jae Lee, Soyeon Park, Seongju Kim, Hooyeon Lee
    Journal of Psychosomatic Obstetrics & Gynecology.2023;[Epub]     CrossRef
  • Long COVID in Pakistan: a cross-sectional analysis of health and psychosocial outcomes
    Madeeha Khan, Sadaf Majeed, Quratul Ain, Amjad Nawaz, Khadija Awais Sumra, Vilma Lammi, Faizan Nihal, Aleena Afrah, Ejaz Ahmed Khan, Mohammad Iqbal Khan, Fouzia Sadiq
    Psychology, Health & Medicine.2023; : 1.     CrossRef
  • Assessing Knowledge, Preventive Practices, and Depression Among Chinese International Students and Local Korean Students in South Korea During the COVID-19 Pandemic: An Online Cross-Sectional Study
    Xiaoxu Jiang, Bo Zhao, Eun Woo Nam, Fanlei Kong
    Frontiers in Psychiatry.2022;[Epub]     CrossRef
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    Ju An Byun, Tae Jun Sim, Tae Yoon Lim, Sung-In Jang, Seung Hoon Kim
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    Pablo D. Valencia, Maria A. Torres-Quispe, Sofía Sánchez-Cayo, Ricardo F. Reyes-Aguilar, Alexander G. Acevedo-Cahuana
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    Hyunsuk Jeong, Suyeon Park, Jihee Kim, Kyungwon Oh, Hyeon Woo Yim
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The effects of information-seeking behaviours on prevention behaviours during the COVID-19 pandemic: the mediating effects of anxiety and fear in Korea
Kwanghyun Kim, Jisu Yang, Ye Jin Jeon, Yu Jin Lee, Youngrong Lee, Hyeon Chang Kim, Karestan Koenen, Yong-Chan Kim, Sun Jae Jung
Epidemiol Health. 2021;43:e2021085.   Published online October 19, 2021
DOI: https://doi.org/10.4178/epih.e2021085
  • 9,185 View
  • 198 Download
  • 5 Web of Science
  • 6 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Identifying determinants of prevention behaviours during the emergence of a new infectious disease is important. We investigated the associations between information-seeking and prevention behaviours during the coronavirus disease 2019 (COVID-19) pandemic and mediating effects of psychiatric factors.
METHODS
In total, 1,970 participants from the Cardiovascular and Metabolic Etiology Research Center cohort participated in an online survey 55 days after the first COVID-19 case in Korea was diagnosed. Time spent seeking information related to COVID-19; information sources; psychiatric factors, including anxiety, depression, post-traumatic stress symptoms (PTSS), and the fear of COVID-19; and prevention behaviours were examined. The mediating effect of psychiatric factors was estimated using mediation analysis.
RESULTS
Time spent seeking information and information sources affected several behavioural responses. In men, anxiety mediated associations between information-seeking and prevention behaviours, including purchasing sanitary supplies (effect size [ES], 0.038; 95% confidence interval [CI], 0.002 to 0.095) and hoarding (ES, 0.029; 95% CI, 0.002 to 0.068). The fear of COVID-19 also mediated associations between information-seeking and prevention behaviours including refraining from going out (men: ES, 0.034; 95% CI, 0.009 to 0.068; women: ES, 0.052; 95% CI, 0.030 to 0.080), wearing face masks (men: ES, 0.085; 95% CI, 0.031 to 0.184), avoiding public transportation (men: ES, 0.020; 95% CI, 0.000 to 0.044; women: ES, 0.031; 95% CI, 0.015 to 0.051), hoarding (women: ES, 0.051; 95% CI, 0.029 to 0.792), and trying alternative remedies (men: ES, 0.024; 95% CI, 0.004 to 0.053). Depressive symptoms and PTSS did not have any mediating effects.
CONCLUSIONS
While the availability of information related to COVID-19 can help prevent infections, it can also promote anxiety and fear, leading to negative behaviours such as hoarding and trying unverified alternative treatments.
Summary
Korean summary
-본 연구는 한국인에서 코로나-19 관련 정보탐색이 예방 행동과 상관관계가 있는지를 확인하고 불안, 공포, 우울을 비롯한 심리 상태가 이 상관관계를 매개하는 메커니즘으로 작용하는지를 확인하고자 하였다. - 본 코호트 연구에서 정보 탐색 시간이 길어질수록 예방 행동을 취하는 빈도가 증가하였으며 불안 및 코로나-19에 대한 공포가 이 둘 사이의 상관관계를 일부 매개하였다. - 정보탐색이 증가할수록 외출 자제, 마스크 착용, 대중교통 이용 자제와 같은 권장되는 예방 행동을 취할 가능성도 증가하였지만 사재기를 하거나 검증되지 않은 대체요법에 의지하는 등 권장되지 않는 예방 행동을 취할 가능성 또한 같이 증가하였다.
Key Message
In this study, we tried to test the association between information-seeking behavior and preventive measures during COVID-19 pandemic. We also tried to understand whether psychologic factors such as anxiety, fear against COVID-19 and depression mediate the association. We found that time used for searching COVID-19-related information is positively associated with preventive behaviors, and that anxiety and fear mediate the association. Information seeking increased the probability of utilizing recommended prevention strategy such as wearing facial masks and refraining from going out, but also promoted prevention behavior not recommended by government officials such as hoarding and trying alternative remedies.

Citations

Citations to this article as recorded by  
  • Protective behaviors against COVID-19 and their association with psychological factors in China and South Korea during the Omicron wave: a comparative study
    J. Deng, M. Lee, C. Qin, Y. Lee, M. You, J. Liu
    Public Health.2024; 229: 116.     CrossRef
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    Tadele Fentabil Anagaw, Habtamu Alganeh Guadie
    SAGE Open Medicine.2023; 11: 205031212311535.     CrossRef
  • “It Bothered Me”: The Mental Burden of COVID-19 Media Reports on Community-Dwelling Elderly People
    Natasa Maksimovic, Tatjana Gazibara, Jelena Dotlic, Marija Milic, Vida Jeremic Stojkovic, Smiljana Cvjetkovic, Gordana Markovic
    Medicina.2023; 59(11): 2011.     CrossRef
  • Assessing Knowledge, Preventive Practices, and Depression Among Chinese International Students and Local Korean Students in South Korea During the COVID-19 Pandemic: An Online Cross-Sectional Study
    Xiaoxu Jiang, Bo Zhao, Eun Woo Nam, Fanlei Kong
    Frontiers in Psychiatry.2022;[Epub]     CrossRef
  • Association between fear of COVID-19 and hoarding behavior during the outbreak of the COVID-19 pandemic: The mediating role of mental health status
    Ye Zhao, Yang Yu, Ruofan Zhao, Yiming Cai, Shuai Gao, Ye Liu, Sheng Wang, Huifeng Zhang, Haiying Chen, Youdong Li, Haishui Shi
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • Fear of COVID-19 and Prevention Behaviors: Cross-Lagged Panel Analysis
    Katherine M Anderson, Jamila K Stockman
    JMIR Formative Research.2022; 6(11): e35730.     CrossRef
Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea
Kyong Sil Park, Seon Young Hwang, Bo Youl Choi, June Kim, Sang Il Kim, Woo-Joo Kim, Chun Kang
Epidemiol Health. 2021;43:e2021002.   Published online December 24, 2020
DOI: https://doi.org/10.4178/epih.e2021002
  • 12,813 View
  • 384 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
As HIV/AIDS is becoming a chronic disease, the risk of developing cardiovascular disease (CVD) among people living with HIV/AIDS is rising. Anxiety and depression, which are common among people living with HIV/AIDS, have been linked with CVD. This study investigated the risk of CVD in people living with HIV/AIDS and explored the effects of depression and anxiety on CVD risk.
METHODS
Data were collected for 457 people enrolled in the Korea Cohort HIV/AIDS study after 2010. Framingham risk scores were calculated to quantify the 10-year risk of developing CVD. Depression and anxiety variables were re-coded as a single combined variable. Multivariable logistic regression analysis was performed, adjusting for age, body mass index, low-density lipoprotein (LDL) cholesterol, triglycerides (TG), duration of human immunodeficiency virus (HIV) positivity after entry into the cohort, and depression/anxiety.
RESULTS
Participants with both depression and anxiety were 2.28 times more likely than those with neither depression nor anxiety to have moderate/high-risk CVD risk. The 10-year risk of developing CVD was affected by LDL cholesterol, TG, age, and duration of HIV infection. LDL cholesterol and TG levels change according to the duration of HIV infection, and metabolic disorders affect the risk of CVD. Thus, a longer duration of HIV infection is associated with a higher risk of developing CVD.
CONCLUSIONS
Screenings for depression and anxiety need to be provided regularly to assess the severity of those symptoms. To help decrease their risk of developing CVD, people living with HIV/AIDS should be offered behavioral modification interventions aimed at developing healthy lifestyle habits.
Summary
Korean summary
본 연구를 통해 우울과 불안이 심혈관질환 발생위험을 증가시키는 영향요인임을 확인하였다. 따라서, HIV 감염자의 우울과 불안에 대한 정기적인 검사 및 상담이 필요하며, 우울 또는 불안한 환자의 심혈관질환의 발병 위험을 줄이기위해 좋은 생활 습관을 위한 행동 수정 및 동기 부여 교육프로그램의 개발이 필요하다.
Key Message
healthcare providers need to provide motivational education for behavioral modifications to decrease patients’ risk of developing CVD, especially among those with depression or anxiety symptoms.

Citations

Citations to this article as recorded by  
  • Comorbidities among persons living with HIV (PLWH) in Florida: a network analysis
    Shyfuddin Ahmed, Angel B. Algarin, Hsu Thadar, Zhi Zhou, Tanjila Taskin, Krishna Vaddiparti, Karina Villalba, Yan Wang, Nicole Ennis, Jamie P. Morano, Charurut Somboonwit, Robert L Cook, Gladys E. Ibañez
    AIDS Care.2023; 35(7): 1055.     CrossRef
  • Elevated frequency and everyday functioning implications of vascular depression in persons with HIV disease
    Ilex Beltran-Najera, Andrea Mustafa, Desmond Warren, Zach Salling, Maria Misiura, Steven Paul Woods, Vonetta M. Dotson
    Journal of Psychiatric Research.2023; 160: 78.     CrossRef
  • MENTE X CORAÇÃO: AS DOENÇAS PSIQUICAS E AS CONSENQUÊNCIAS CARDIOVASCULARES: UMA REVISÃO DA LITERATURA
    Beatriz da Silva Araújo, Morgana Gonçalves da Silva
    Revista interdisciplinar em saúde.2021; 8(Único): 292.     CrossRef
MERS-Original Article
Mental health status of people isolated due to Middle East Respiratory Syndrome
Hyunsuk Jeong, Hyeon Woo Yim, Yeong-Jun Song, Moran Ki, Jung-Ah Min, Juhee Cho, Jeong-Ho Chae
Epidemiol Health. 2016;38:e2016048.   Published online November 5, 2016
DOI: https://doi.org/10.4178/epih.e2016048
  • 42,744 View
  • 1,160 Download
  • 655 Web of Science
  • 676 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Isolation due to the management of infectious diseases is thought to affect mental health, but the effects are still unknown. We examined the prevalence of anxiety symptoms and anger in persons isolated during the Middle East Respiratory Syndrome (MERS) epidemic both at isolation period and at four to six months after release from isolation. We also determined risk factors associated with these symptoms at four to six months.
METHODS
Of 14,992 individuals isolated for 2-week due to having contact with MERS patients in 2015, when MERS was introduced to Korea, 1,692 individuals were included in this study. Anxiety symptoms were evaluated with the Generalized Anxiety Disorder 7-item scale and anger was assessed with the State-Trait Anger Expression Inventory at four to six months after release from isolation for MERS.
RESULTS
Of 1,692 who came in contact with MERS patients, 1,656 were not diagnosed with MERS. Among 1,656, anxiety symptoms showed 7.6% (95% confidence interval [CI], 6.3 to 8.9%) and feelings of anger were present in 16.6% (95% CI, 14.8 to 18.4%) during the isolation period. At four to six months after release from isolation, anxiety symptoms were observed in 3.0% (95%CI, 2.2 to 3.9%). Feelings of anger were present in 6.4% (95% CI, 5.2 to 7.6%). Risk factors for experiencing anxiety symptoms and anger at four to six months after release included symptoms related to MERS during isolation, inadequate supplies (food, clothes, accommodation), social networking activities (email, text, Internet), history of psychiatric illnesses, and financial loss.
CONCLUSIONS
Mental health problems at four to six month after release from isolation might be prevented by providing mental health support to individuals with vulnerable mental health, and providing accurate information as well as appropriate supplies, including food, clothes, and accommodation.
Summary
Korean summary
메르스 환자와의 밀착접촉으로 격리되었던 1,692명을 대상으로 격리 당시와 격리해제 후 4-6개월 시점의 불안증상과 분노감 유병율을 파악하고 격리 해제 후 4-6개월 시점에 불안증상과 분노감 유병과 연관된 격리기간 동안의 위험요인을 알아보고자 하였다. 메르스 격리자에서 격리시점의 불안증상 유병율은 7.6% (95%CI: 6.3-8.9%), 분노감 유병율은 16.6% (95%CI: 14.8-18.4%) 였고, 4-6개월 시점이 불안증상 유병율은 3.0% (95%CI: 2.2-3.9%), 분노감 유병율은 6.4% (95%CI: 5.2-7.6%) 이였다. 성별과 연령을 보정한 후 격리해제 4-6개월 지난 시점에서 불안증상 및 분노감 유병의 위험요인은 격리 당시 메르스 증상이 있었거나 구호품 보급이 충분하지 않았거나, 정신과 질환의 과거력이 있었던 경우, 재정 손실이 있었던 사람이었다.

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Original Article
Prevalence and risk factors of irritable bowel syndrome in Korean high school students.
Kyung Tae Lee, Jaehyun Yoo, Bo Kyoung Kim, Hae Kwan Cheong
Korean J Epidemiol. 2007;29(1):21-33.
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AbstractAbstract PDF
Abstract
BACKGROUND
AND OBJECTIVES: Irritable bowel syndrome (IBS) is prevalent in the general population, but there are few reports on bowel habits and IBS in high school students in Korea. This study aims to describe the prevalence of IBS in high school students in Korea and to investigate the influence of lifestyle factors including dietary habits, on the IBS. This study also investigates relationship between anxiety, depression and IBSprevalence. SUBJECTS AND METHODS: This study is a cross-sectional study on 1,018 students (451 males and 567 females) form freshman to senior of a high schools in Seoul. All students were requested to fill in a self-reported questionnaire. IBS was diagnosed based on the Rome II criteria. Those having past medical history of organic gastrointestinal disorders and any one of the 'alarm factors'(e.g. continuous hematochezia, weight loss, or anemic symptom) were excluded from the IBS group. For the evaluation of risk factors on the IBS, we surveyed dietary habit, health behavior, past medical history, the Hollingshed index for the measurement of socioeconomic status, Beck's Anxiety Inventory for the anxiety, and the Children's Depression Inventory for the depression.
RESULTS
The prevalence of IBS was 19.1%. Family history of abdominal discomfort (odds ratio 2.07, 95% 1.46-2.92) and having night snack (odds ratio 1.46, 95% CI 1.09-1.94) were significantly different between the IBS group and non-IBS group. There was a linear trend towards the higher prevalence of IBS with fewer hours of exercise (odds ratio 0.99, 95% CI 0.95-1.04). Menstruation, stress, and irregular eating were the significant provocation factors of IBS. Anxiety and depression was not significantly higher in in the IBS group.
CONCLUSIONS
Prevalence of the IBS in high school students from this study was higher compared with those reported in college students in Korea. This study shows that family history, dietary factors, lifestyle, and grade were significantly related to IBS. From our study, we found that there are multifaceted health aspects required to reduce symptoms, such as dietary education and encouragement to change lifestyle for controlling stress.
Summary
Epidemiol Health : Epidemiology and Health
© Korean Society of Epidemiology.